What does the ADU/JADU acknowledgement form cover?

It records acceptance of application terms, owner authorization, and indemnification, with separate acknowledgement sections for the property owner, architect or designer, and applicant.

Who signs this Westminster ADU/JADU form?

The form provides signature sections for the property owner, architect or designer, and applicant. Each section includes a printed-name field and a date of signature.

Westminster, CA · Orange County

No notary required

ADU/JADU Acknowledgement and Acceptance of Terms, Authorization and Indemnification

This form records acknowledgements and authorizations for an accessory dwelling unit or junior accessory dwelling unit application in Westminster.

What this form is

This form accompanies a Westminster ADU/JADU application and records the property owner’s acceptance of application terms, authorization of an applicant or agent, and indemnification of the City. It also includes acknowledgements for the architect or designer and applicant. The declarations address submittal requirements, project changes, plan-check information, and disclosure of unpermitted construction.

Who needs it

Property owners, applicants, and architects or designers involved in a Westminster ADU/JADU application complete and sign their respective sections.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the owner affirms under penalty of perjury that the statements, facts, and attachments are true and correct.

How to submit this form

1
Download the Form
Download the ADU/JADU acknowledgement form.
2
Complete the Relevant Sections
Read the declarations and complete the applicable printed-name, signature, and date fields.
3
Gather Application Attachments
The owner affirms that the statements, facts, and attachments are true and correct.
4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the ADU/JADU acknowledgement form cover?: It records acceptance of application terms, owner authorization, and indemnification, with separate acknowledgement sections for the property owner, architect or designer, and applicant.
Who signs this Westminster ADU/JADU form?: The form provides signature sections for the property owner, architect or designer, and applicant. Each section includes a printed-name field and a date of signature.
Do I need a notary for this ADU/JADU acknowledgement?: No. This document is signed without a notary. The owner affirms under penalty of perjury that the statements, facts, and attachments are true and correct.
How do I submit the ADU/JADU acknowledgement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This ADU/JADU Acknowledgement and Acceptance of Terms, Authorization and Indemnification doesn’t need a notary — but if you have another Westminster form that does, a commissioned online notary can help.